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Paula Gardiner

3 papers in the library · 5 citations · publishing 2024-2025

Papers

Race-Based Differences in the Response to a Mindfulness Based Integrative Medical Group Visit Intervention for Chronic Pain.

Global advances in integrative medicine and health January 1, 2024 Angela C Incollingo Rodriguez, Benjamin C Nephew, Justin J Polcari et al. 3 citations

African American/Black participants with chronic pain and depression who took part in Integrative Medical Group Visits (IMGV) showed reduced pain severity from baseline to 9 weeks, a change not seen in White participants. However, White participants experienced reduced pain severity from 9 to 21 weeks, while African American/Black participants showed no significant change during that later period. At baseline, African American/Black participants had higher pain severity and differed in age, work status, and comorbidities. The findings suggest race-based differences in response to mindfulness-based integrative treatments, highlighting the need for further investigation into how such heterogeneity relates to health disparities.

Mandela Yoga: a community case study for a post-incarceration reentry service for men of color in recovery.

Frontiers in public health January 1, 2025 Richa Gawande, Felipe Kalatauma Rosario, Carlos Santiago et al. 1 citation

A community-based peer-led mindfulness intervention called Mandela Yoga, co-developed by Black and Brown yoga teachers, therapists, and community leaders with lived experience of recovery, incarceration, chronic illness, and racism, was implemented as part of a Federally Qualified Health Center reentry program for men of color recently released from incarceration. A qualitative analysis of a 12-week implementation documented attendance and conducted interviews with the peer facilitator and one participant. Four key themes emerged: breath and mind-body connection leading to presence; consistency; peer connection; and agency and positive action. Mandela Yoga shows promise as a mind-body-community intervention for communities of color in recovery and post-incarceration.

Modulating mechanisms of adverse childhood experiences in a mindfulness-based intervention: preliminary insights from an opioid use disorder study.

Frontiers in psychology January 1, 2025 Diane Joss, Joseph Rosansky, Paula Gardiner et al. 1 citation

Among people with opioid use disorder receiving buprenorphine, those who also took part in a 24-week online mindfulness-based intervention showed a specific chain of symptom improvement linked to their history of adverse childhood experiences (ACE). Higher ACE severity was associated with greater reductions in self-critical rumination by week 8, which then predicted reduced pain catastrophizing by week 16, and less pain interference by week 24. This pathway was not seen in a matched recovery support control group. Both groups experienced significant reductions in depression, anxiety, and other symptoms, but only in the mindfulness group did ACE severity predict changes in self-critical rumination, suggesting this may be a key target for treatment.